PMID- 33222971 OWN - NLM STAT- MEDLINE DCOM- 20210208 LR - 20210208 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 81 DP - 2020 Nov TI - The effect of folate and VitB(12) in the treatment of MCI patients with hyperhomocysteinemia. PG - 65-69 LID - S0967-5868(20)31522-8 [pii] LID - 10.1016/j.jocn.2020.09.043 [doi] AB - OBJECTIVE: This study aims to investigate the effect of folate combined with VitB(12) on serum total homocysteine (tHcy) levels and cognitive function in patients with mild cognitive impairment (MCI) complicated by hyperhomocysteinemia (HHcy). METHODS: (1) A total of 92 MCI patients with HHcy were enrolled in this study and randomly divided into two groups: the intervention group (46 cases) and the control group (46 cases). (2) The patients in both groups received the routine treatment for their condition, but patients in the intervention group were also given 5 mg/day of folate and 500 mug x 3/day of VitB(12). (3) The changes in levels of folate, VitB(12), and tHcy, the Montreal Cognitive Assessment (MoCA) score and the event-related potential (P300) were observed before and after treatment. RESULTS: (1) There were no statistically significant differences in folate, VitB(12), and tHcy levels, the MoCA score and the P300 between the two groups before treatment. (2) At the 4th, 12th and 24th week, folate and VitB(12) levels in the intervention group were higher than those in the same group before treatment and those in the control group at the same time points, while tHcy levels were lower than those in the same group before treatment and those in the control group at the same time points. (3) At the 24th week, the MoCA score in the control group was lower than before treatment, and the MoCA score in the intervention group was higher than in the same group before treatment and in the control group at the same time point. The P300 latency was shorter than it was in the same group before treatment and in the control group at the same time point. CONCLUSION: Folate and VitB(12) can effectively reduce levels of tHcy in patients with MCI and improve cognitive function. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Jiang, Bo AU - Jiang B AD - Department of Neurology, Fourth Medical Center, Chinese PLA General Hospital. Beijing 100048, China. Electronic address: bojiangcn@126.com. FAU - Yao, Guoen AU - Yao G AD - Department of Neurology, Fourth Medical Center, Chinese PLA General Hospital. Beijing 100048, China. FAU - Yao, Cunshan AU - Yao C AD - Department of Neurology, Fourth Medical Center, Chinese PLA General Hospital. Beijing 100048, China. FAU - Zheng, Na AU - Zheng N AD - Department of Neurology, Fourth Medical Center, Chinese PLA General Hospital. Beijing 100048, China. LA - eng PT - Journal Article DEP - 20200929 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0LVT1QZ0BA (Homocysteine) RN - 935E97BOY8 (Folic Acid) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Aged MH - Cognition/*drug effects/physiology MH - Cognitive Dysfunction/blood/*drug therapy/epidemiology MH - Drug Therapy, Combination MH - Female MH - Folic Acid/*administration & dosage/blood MH - Homocysteine/blood MH - Humans MH - Hyperhomocysteinemia/blood/*drug therapy/epidemiology MH - Male MH - Middle Aged MH - Treatment Outcome MH - Vitamin B 12/*administration & dosage/blood OTO - NOTNLM OT - Folic acid OT - Homocysteine OT - Mild cognitive impairment OT - VitB(12) EDAT- 2020/11/24 06:00 MHDA- 2021/02/09 06:00 CRDT- 2020/11/23 05:27 PHST- 2020/06/23 00:00 [received] PHST- 2020/09/10 00:00 [revised] PHST- 2020/09/14 00:00 [accepted] PHST- 2020/11/23 05:27 [entrez] PHST- 2020/11/24 06:00 [pubmed] PHST- 2021/02/09 06:00 [medline] AID - S0967-5868(20)31522-8 [pii] AID - 10.1016/j.jocn.2020.09.043 [doi] PST - ppublish SO - J Clin Neurosci. 2020 Nov;81:65-69. doi: 10.1016/j.jocn.2020.09.043. Epub 2020 Sep 29.